Extended criteria (experimental). This is the broader ten-condition engine, kept as a secondary area. It shows ICD-10-CM codes and illustrative grouping effects for CDI staff. The primary surface is Before you sign (kidney, measurement only). All extended pages.

ENC-00119: Celeste Elsworth

51M · MRN97200466 · Hospital Medicine · admitted Fri Oct 30, 2026 08:21 AM · discharged Tue Nov 03, 2026 12:40 PM · attending Dr. Cyrus Ellingham · resident Dr. Camila Oyelaran · 164 cm, 70.1 kg

Documented diagnoses (current)

Principal: “community-acquired pneumonia” · J18.9 Pneumonia, unspecified organism
“hypertension” · I10 Essential (primary) hypertension
“hyperlipidemia” · E78.5 Hyperlipidemia, unspecified
“type 2 diabetes” · E11.9 Type 2 diabetes mellitus without complications

Illustrative grouping now: MS-DRG 195 Simple pneumonia and pleurisy without CC/MCC. If every open specificity/validation gap were answered as the criteria suggest: MS-DRG 195.

Queries and events

No queries yet.

All rules applied

Rule Criteria Finding Outcome

Acute kidney injury

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule aki v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: meets_definition	`creat_ratio >= t.ratio_s1 or creat_rise_48h >= t.rise_abs or coalesce(uo_hours_lt_0_5 >= t.uo_s1_h, false)`	creat_ratio=1.029, t.ratio_s1=1.5, creat_rise_48h=0.02, t.rise_abs=0.3, uo_hours_lt_0_5=unknown, t.uo_s1_h=6	false
derived: stage3	`meets_definition and (creat_ratio >= t.ratio_s3 or creat_peak >= t.scr_s3 or rrt_started or coalesce(uo_hours_lt_0_3 >= t.uo_s3_h, false) or coalesce(anuria_hours >= t.anuria_h, false))`	meets_definition=False, creat_ratio=1.029, t.ratio_s3=3.0, creat_peak=1.07, t.scr_s3=4.0, rrt_started=False, uo_hours_lt_0_3=unknown, t.uo_s3_h=24, anuria_hours=unknown, t.anuria_h=12	false
derived: stage2	`creat_ratio >= t.ratio_s2 or coalesce(uo_hours_lt_0_5 >= t.uo_s2_h, false)`	creat_ratio=1.029, t.ratio_s2=2.0, uo_hours_lt_0_5=unknown, t.uo_s2_h=12	false
derived: stage	`case(stage3, 3, stage2, 2, meets_definition, 1, 0)`	stage3=False, stage2=False, meets_definition=False	0
derived: baseline_independent	`creat_baseline_known or creat_rise_48h >= t.rise_abs or rrt_started`	creat_baseline_known=True, creat_rise_48h=0.02, t.rise_abs=0.3, rrt_started=False	true
outcome: aki_staged	`stage >= 1 and baseline_independent`	stage=0, baseline_independent=True	false
outcome: aki_presumed_baseline	`stage >= 1`	stage=0	false
outcome: not_met	`stage == 0`	stage=0	true

Acute blood loss anaemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule blood_loss_anemia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: anaemic	`case(sex == 'M', hgb_nadir < t.hb_m, sex == 'F', hgb_nadir < t.hb_f, null)`	sex=M, hgb_nadir=13.42, t.hb_m=13, t.hb_f=12	false
derived: acute_fall	`hgb_drop >= t.drop_major or prbc_units >= t.prbc_major`	hgb_drop=0.0, t.drop_major=2.0, prbc_units=0, t.prbc_major=2	false
outcome: met	`bleeding_documented and anaemic and acute_fall`	bleeding_documented=False, anaemic=False, acute_fall=False	false
outcome: anaemia_only	`anaemic and hgb_drop < t.drop_min and prbc_units == 0`	anaemic=False, hgb_drop=0.0, t.drop_min=1.0, prbc_units=0	false
outcome: not_anaemic	`present(hgb_nadir) and not anaemic`	hgb_nadir=13.42, anaemic=False	true

Chronic kidney disease

Clinical judgement required

No gap

Not documented; egfr 60 or above; ckd g1-g2 requires markers of kidney damage, which are not assessed here.

Trace

Rule trace (rule ckd v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: chronic	`egfr_n >= 2 and egfr_span_days >= t.chronic_days`	egfr_n=2, egfr_span_days=336, t.chronic_days=90	true
derived: staging_egfr	`max(egfr_early, egfr_late)`	egfr_early=90.0, egfr_late=86.9	90.0
derived: both_below_60	`egfr_early < t.g2 and egfr_late < t.g2`	egfr_early=90.0, t.g2=60, egfr_late=86.9	false
derived: category	`case(staging_egfr >= t.g2, 'G1-G2', staging_egfr >= t.g3a, 'G3a', staging_egfr >= t.g3b, 'G3b', staging_egfr >= t.g4, 'G4', 'G5')`	staging_egfr=90.0, t.g2=60, t.g3a=45, t.g3b=30, t.g4=15	G1-G2
outcome: duration_not_shown	`not chronic`	chronic=True	false
outcome: straddles_60	`not both_below_60 and min(egfr_early, egfr_late) < t.g2`	both_below_60=False, egfr_early=90.0, egfr_late=86.9, t.g2=60	false
outcome: g1_g2	`staging_egfr >= t.g2`	staging_egfr=90.0, t.g2=60	true

Heart failure

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule heart_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: np_elevated	`coalesce(bnp_max >= t.bnp, false) or coalesce(ntprobnp_max >= t.ntprobnp, false)`	bnp_max=unknown, t.bnp=100, ntprobnp_max=unknown, t.ntprobnp=300	false
derived: acute_count	`count(iv_loop_diuretic, np_elevated, new_o2)`	iv_loop_diuretic=False, np_elevated=False, new_o2=False	0
derived: hf_type	`case(lvef <= t.ref, 'systolic', lvef >= t.pres, 'diastolic', 'midrange')`	lvef=unknown, t.ref=40, t.pres=50	unknown
derived: improved	`coalesce(lvef_prior_min <= t.ref and lvef > t.ref and lvef - lvef_prior_min >= t.improved_rise, false)`	lvef_prior_min=unknown, t.ref=40, lvef=unknown, t.improved_rise=10	false
derived: acuity	`case(acute_count >= 2 and hf_history, 'acute on chronic', acute_count >= 2, 'acute', acute_count == 0 and hf_history, 'chronic', null)`	acute_count=0, hf_history=False	unknown
outcome: improved_ef	`improved`	improved=False	false
outcome: midrange	`hf_type == 'midrange'`	hf_type=unknown	unknown
outcome: sys_aoc	`hf_type == 'systolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_acute	`hf_type == 'systolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: sys_chronic	`hf_type == 'systolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_aoc	`hf_type == 'diastolic' and acuity == 'acute on chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_acute	`hf_type == 'diastolic' and acuity == 'acute'`	hf_type=unknown, acuity=unknown	unknown
outcome: dia_chronic	`hf_type == 'diastolic' and acuity == 'chronic'`	hf_type=unknown, acuity=unknown	unknown
outcome: one_indicator	`acute_count == 1`	acute_count=0	false

Hyponatraemia

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule hyponatremia v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: severity	`case(na_min < t.profound, 'profound', na_min < t.moderate, 'moderate', na_min < t.low, 'mild', 'none')`	na_min=136.0, t.profound=125, t.moderate=130, t.low=135	none
outcome: met	`na_min < t.low and na_low_count >= t.repeat and na_treated`	na_min=136.0, t.low=135, na_low_count=0, t.repeat=2, na_treated=False	false
outcome: untreated	`na_min < t.low`	na_min=136.0, t.low=135	false
outcome: not_met	`na_min >= t.low`	na_min=136.0, t.low=135	true

Malnutrition

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule malnutrition v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: a_sev_intake	`intake_pct <= t.a_sev_intake_pct and intake_days >= t.a_sev_intake_days`	intake_pct=unknown, t.a_sev_intake_pct=50, intake_days=unknown, t.a_sev_intake_days=5	unknown
derived: a_mod_intake	`intake_pct < t.a_mod_intake_pct and intake_days > t.a_mod_intake_days`	intake_pct=unknown, t.a_mod_intake_pct=75, intake_days=unknown, t.a_mod_intake_days=7	unknown
derived: a_sev_wt	`(wt_loss_days <= 7 and wt_loss_pct > 2) or (wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: a_mod_wt	`(wt_loss_days <= 7 and wt_loss_pct >= 1) or (wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_sev_intake	`intake_pct <= t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_mod_intake	`intake_pct < t.c_intake_pct and intake_days >= t.c_intake_days`	intake_pct=unknown, t.c_intake_pct=75, intake_days=unknown, t.c_intake_days=30	unknown
derived: c_sev_wt	`(wt_loss_days <= 31 and wt_loss_pct > 5) or (wt_loss_days <= 92 and wt_loss_pct > 7.5) or (wt_loss_days <= 183 and wt_loss_pct > 10) or (wt_loss_days <= 366 and wt_loss_pct > 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: c_mod_wt	`(wt_loss_days <= 31 and wt_loss_pct >= 5) or (wt_loss_days <= 92 and wt_loss_pct >= 7.5) or (wt_loss_days <= 183 and wt_loss_pct >= 10) or (wt_loss_days <= 366 and wt_loss_pct >= 20)`	wt_loss_days=unknown, wt_loss_pct=unknown	unknown
derived: n_assessed	`known(intake_pct, wt_loss_pct, fat_loss, muscle_loss, fluid, grip_reduced)`	intake_pct=unknown, wt_loss_pct=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown	0
derived: n_severe	`case(nutr_context == 'acute', count(a_sev_intake, a_sev_wt, fat_loss >= 2, muscle_loss >= 2, fluid >= 2, grip_reduced), nutr_context == 'chronic', count(c_sev_intake, c_sev_wt, fat_loss >= 3, muscle_loss >= 3, fluid >= 3, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_sev_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_sev_wt=unknown	unknown
derived: n_moderate	`case(nutr_context == 'acute', count(a_sev_intake or a_mod_intake, a_sev_wt or a_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), nutr_context == 'chronic', count(c_sev_intake or c_mod_intake, c_sev_wt or c_mod_wt, fat_loss >= 1, muscle_loss >= 1, fluid >= 1, grip_reduced), null)`	nutr_context=unknown, a_sev_intake=unknown, a_mod_intake=unknown, a_sev_wt=unknown, a_mod_wt=unknown, fat_loss=unknown, muscle_loss=unknown, fluid=unknown, grip_reduced=unknown, c_sev_intake=unknown, c_mod_intake=unknown, c_sev_wt=unknown, c_mod_wt=unknown	unknown
outcome: severe	`n_severe >= 2`	n_severe=unknown	unknown
outcome: moderate	`n_moderate >= 2`	n_moderate=unknown	unknown
outcome: one_characteristic	`n_moderate == 1`	n_moderate=unknown	unknown
outcome: not_met	`n_moderate == 0 and n_assessed >= 2`	n_moderate=unknown, n_assessed=0	false

Obesity

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule obesity v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
outcome: not_adult	`age < t.adult`	age=51, t.adult=20	false
outcome: class3	`bmi >= t.c3`	bmi=26.1, t.c3=40	false
outcome: class2	`bmi >= t.c2`	bmi=26.1, t.c2=35	false
outcome: class1	`bmi >= t.c1`	bmi=26.1, t.c1=30	false
outcome: not_met	`bmi < t.c1`	bmi=26.1, t.c1=30	true

Pressure injury

Insufficient data

No gap

Insufficient data: the criteria could not be applied.

Trace

Rule trace (rule pressure_injury v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: sacral	`wound_site == 'sacral'`	wound_site=unknown	unknown
outcome: no_wound_note	`not present(wound_stage)`	wound_stage=unknown	true

Acute respiratory failure

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule respiratory_failure v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: measured	`present(spo2_min_ra) or present(pao2_min_ra) or present(pf_min)`	spo2_min_ra=94.0, pao2_min_ra=unknown, pf_min=unknown	true
derived: hypoxemia	`coalesce(spo2_min_ra < t.spo2_ra, false) or coalesce(pao2_min_ra < t.pao2, false) or coalesce(pf_min < t.pf, false)`	spo2_min_ra=94.0, t.spo2_ra=88, pao2_min_ra=unknown, t.pao2=60, pf_min=unknown, t.pf=300	false
derived: distress	`coalesce(rr_max >= t.rr_distress, false) or coalesce(wob_increased, false) or adv_resp_support`	rr_max=20.0, t.rr_distress=28, wob_increased=unknown, adv_resp_support=False	false
outcome: chronic_baseline	`home_o2 and hypoxemia`	home_o2=False, hypoxemia=False	false
outcome: met	`hypoxemia and distress`	hypoxemia=False, distress=False	false
outcome: hypoxemia_only	`hypoxemia`	hypoxemia=False	false
outcome: not_met	`measured and not hypoxemia and o2_max_lpm <= t.o2_low and not adv_resp_support`	measured=True, hypoxemia=False, o2_max_lpm=0.0, t.o2_low=2, adv_resp_support=False	true

Sepsis

Criteria not met

No gap

Not documented and not supported.

Trace

Rule trace (rule sepsis v2026.11-1; evaluated in order, first true outcome wins; "unknown" = missing input)
Step	Expression	Inputs and thresholds read	Result
derived: sirs_temp	`coalesce(temp_max_48h > t.t_hi, false) or coalesce(temp_min_48h < t.t_lo, false)`	temp_max_48h=37.4, t.t_hi=38, temp_min_48h=36.7, t.t_lo=36	false
derived: sirs_hr	`coalesce(hr_max_48h > t.hr, false)`	hr_max_48h=83.0, t.hr=90	false
derived: sirs_rr	`coalesce(rr_max_48h > t.rr, false) or coalesce(paco2_min_48h < t.paco2, false)`	rr_max_48h=20.0, t.rr=20, paco2_min_48h=unknown, t.paco2=32	false
derived: sirs_wbc	`coalesce(wbc_max_48h > t.wbc_hi, false) or coalesce(wbc_min_48h < t.wbc_lo, false) or coalesce(bands_max_48h > t.bands, false)`	wbc_max_48h=8.92, t.wbc_hi=12, wbc_min_48h=7.61, t.wbc_lo=4, bands_max_48h=unknown, t.bands=10	false
derived: sirs_count	`count(sirs_temp, sirs_hr, sirs_rr, sirs_wbc)`	sirs_temp=False, sirs_hr=False, sirs_rr=False, sirs_wbc=False	0
derived: sofa_resp	`coalesce(case(pf_min_48h < 100 and adv_resp_support, 4, pf_min_48h < 200 and adv_resp_support, 3, pf_min_48h < 300, 2, pf_min_48h < 400, 1, 0), 0)`	pf_min_48h=unknown, adv_resp_support=False	0
derived: sofa_coag	`coalesce(case(platelets_min_48h < 20, 4, platelets_min_48h < 50, 3, platelets_min_48h < 100, 2, platelets_min_48h < 150, 1, 0), 0)`	platelets_min_48h=233.0	0
derived: sofa_liver	`coalesce(case(bili_max_48h >= 12, 4, bili_max_48h >= 6, 3, bili_max_48h >= 2, 2, bili_max_48h >= 1.2, 1, 0), 0)`	bili_max_48h=0.54	0
derived: sofa_cardio	`coalesce(case(norepi_max_48h > 0.1, 4, norepi_max_48h > 0, 3, map_min_48h < 70, 1, 0), 0)`	norepi_max_48h=0.0, map_min_48h=76.0	0
derived: sofa_cns	`coalesce(case(gcs_min_48h < 6, 4, gcs_min_48h < 10, 3, gcs_min_48h < 13, 2, gcs_min_48h < 15, 1, 0), 0)`	gcs_min_48h=15.0	0
derived: sofa_renal	`coalesce(case(creat_max_48h >= 5, 4, creat_max_48h >= 3.5, 3, creat_max_48h >= 2, 2, creat_max_48h >= 1.2, 1, 0), 0)`	creat_max_48h=1.07	0
derived: sofa_renal_baseline	`coalesce(case(creat_baseline >= 5, 4, creat_baseline >= 3.5, 3, creat_baseline >= 2, 2, creat_baseline >= 1.2, 1, 0), 0)`	creat_baseline=1.04	0
derived: sofa_delta	`sofa_resp + sofa_coag + sofa_liver + sofa_cardio + sofa_cns + sofa_renal - sofa_renal_baseline`	sofa_resp=0, sofa_coag=0, sofa_liver=0, sofa_cardio=0, sofa_cns=0, sofa_renal=0, sofa_renal_baseline=0	0
derived: sepsis3	`infection_documented and sofa_delta >= t.sofa_delta`	infection_documented=True, sofa_delta=0, t.sofa_delta=2	false
derived: sepsis2	`infection_documented and sirs_count >= t.sirs_min`	infection_documented=True, sirs_count=0, t.sirs_min=2	false
derived: shock	`sepsis3 and norepi_max_48h > 0 and coalesce(lactate_max_48h > t.lactate, false)`	sepsis3=False, norepi_max_48h=0.0, lactate_max_48h=unknown, t.lactate=2	false
outcome: no_infection	`not infection_documented`	infection_documented=True	false
outcome: septic_shock	`shock`	shock=False	false
outcome: both	`sepsis3 and sepsis2`	sepsis3=False, sepsis2=False	false
outcome: sepsis3_only	`sepsis3`	sepsis3=False	false
outcome: definitions_disagree	`sepsis2`	sepsis2=False	false
outcome: neither	`true`	—	true

Structured data

Labs (28)

Labs (pre-admission rows are outpatient values)
Row	When	Test	Value
LAB-004057	Mon Oct 20, 2025 09:15 AM	creatinine	1.01 mg/dL
LAB-004058	Mon Sep 21, 2026 10:05 AM	creatinine	1.04 mg/dL
LAB-004059	Fri Oct 30, 2026 09:21 AM	creatinine	1.06 mg/dL
LAB-004064	Fri Oct 30, 2026 09:21 AM	sodium	141.0 mmol/L
LAB-004069	Fri Oct 30, 2026 09:21 AM	hemoglobin	13.42 g/dL
LAB-004074	Fri Oct 30, 2026 09:21 AM	wbc	8.92 x10^3/uL
LAB-004075	Fri Oct 30, 2026 09:21 AM	platelets	233.0 x10^3/uL
LAB-004084	Fri Oct 30, 2026 09:21 AM	bilirubin	0.54 mg/dL
LAB-004060	Sat Oct 31, 2026 05:00 AM	creatinine	1.07 mg/dL
LAB-004065	Sat Oct 31, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004070	Sat Oct 31, 2026 05:00 AM	hemoglobin	13.97 g/dL
LAB-004076	Sat Oct 31, 2026 05:00 AM	wbc	7.61 x10^3/uL
LAB-004077	Sat Oct 31, 2026 05:00 AM	platelets	254.0 x10^3/uL
LAB-004061	Sun Nov 01, 2026 05:00 AM	creatinine	1.04 mg/dL
LAB-004066	Sun Nov 01, 2026 05:00 AM	sodium	140.0 mmol/L
LAB-004071	Sun Nov 01, 2026 05:00 AM	hemoglobin	13.9 g/dL
LAB-004078	Sun Nov 01, 2026 05:00 AM	wbc	8.66 x10^3/uL
LAB-004079	Sun Nov 01, 2026 05:00 AM	platelets	288.0 x10^3/uL
LAB-004062	Mon Nov 02, 2026 05:00 AM	creatinine	1.02 mg/dL
LAB-004067	Mon Nov 02, 2026 05:00 AM	sodium	137.0 mmol/L
LAB-004072	Mon Nov 02, 2026 05:00 AM	hemoglobin	13.92 g/dL
LAB-004080	Mon Nov 02, 2026 05:00 AM	wbc	10.85 x10^3/uL
LAB-004081	Mon Nov 02, 2026 05:00 AM	platelets	243.0 x10^3/uL
LAB-004063	Tue Nov 03, 2026 05:00 AM	creatinine	1.04 mg/dL
LAB-004068	Tue Nov 03, 2026 05:00 AM	sodium	136.0 mmol/L
LAB-004073	Tue Nov 03, 2026 05:00 AM	hemoglobin	13.75 g/dL
LAB-004082	Tue Nov 03, 2026 05:00 AM	wbc	9.16 x10^3/uL
LAB-004083	Tue Nov 03, 2026 05:00 AM	platelets	196.0 x10^3/uL

Vitals (78)

Vitals
Row	When	Kind	Value	Detail
VIT-011634	Fri Oct 30, 2026 08:41 AM	spo2	94.0	room air
VIT-011635	Fri Oct 30, 2026 08:41 AM	rr	19.0
VIT-011660	Fri Oct 30, 2026 08:41 AM	temp_c	37.1
VIT-011661	Fri Oct 30, 2026 08:41 AM	hr	69.0
VIT-011662	Fri Oct 30, 2026 08:41 AM	map	91.0
VIT-011663	Fri Oct 30, 2026 08:41 AM	gcs	15.0
VIT-011636	Fri Oct 30, 2026 04:41 PM	spo2	99.0	room air
VIT-011637	Fri Oct 30, 2026 04:41 PM	rr	20.0
VIT-011664	Fri Oct 30, 2026 04:41 PM	temp_c	36.7
VIT-011665	Fri Oct 30, 2026 04:41 PM	hr	80.0
VIT-011666	Fri Oct 30, 2026 04:41 PM	map	92.0
VIT-011667	Fri Oct 30, 2026 04:41 PM	gcs	15.0
VIT-011638	Sat Oct 31, 2026 12:41 AM	spo2	99.0	room air
VIT-011639	Sat Oct 31, 2026 12:41 AM	rr	19.0
VIT-011668	Sat Oct 31, 2026 12:41 AM	temp_c	36.7
VIT-011669	Sat Oct 31, 2026 12:41 AM	hr	73.0
VIT-011670	Sat Oct 31, 2026 12:41 AM	map	76.0
VIT-011671	Sat Oct 31, 2026 12:41 AM	gcs	15.0
VIT-011640	Sat Oct 31, 2026 08:41 AM	spo2	98.0	room air
VIT-011641	Sat Oct 31, 2026 08:41 AM	rr	14.0
VIT-011672	Sat Oct 31, 2026 08:41 AM	temp_c	36.7
VIT-011673	Sat Oct 31, 2026 08:41 AM	hr	78.0
VIT-011674	Sat Oct 31, 2026 08:41 AM	map	85.0
VIT-011675	Sat Oct 31, 2026 08:41 AM	gcs	15.0
VIT-011642	Sat Oct 31, 2026 04:41 PM	spo2	97.0	room air
VIT-011643	Sat Oct 31, 2026 04:41 PM	rr	18.0
VIT-011676	Sat Oct 31, 2026 04:41 PM	temp_c	37.4
VIT-011677	Sat Oct 31, 2026 04:41 PM	hr	83.0
VIT-011678	Sat Oct 31, 2026 04:41 PM	map	81.0
VIT-011679	Sat Oct 31, 2026 04:41 PM	gcs	15.0
VIT-011644	Sun Nov 01, 2026 12:41 AM	spo2	97.0	room air
VIT-011645	Sun Nov 01, 2026 12:41 AM	rr	14.0
VIT-011680	Sun Nov 01, 2026 12:41 AM	temp_c	36.7
VIT-011681	Sun Nov 01, 2026 12:41 AM	hr	83.0
VIT-011682	Sun Nov 01, 2026 12:41 AM	map	90.0
VIT-011683	Sun Nov 01, 2026 12:41 AM	gcs	15.0
VIT-011646	Sun Nov 01, 2026 08:41 AM	spo2	97.0	room air
VIT-011647	Sun Nov 01, 2026 08:41 AM	rr	19.0
VIT-011684	Sun Nov 01, 2026 08:41 AM	temp_c	37.1
VIT-011685	Sun Nov 01, 2026 08:41 AM	hr	79.0
VIT-011686	Sun Nov 01, 2026 08:41 AM	map	92.0
VIT-011687	Sun Nov 01, 2026 08:41 AM	gcs	15.0
VIT-011648	Sun Nov 01, 2026 04:41 PM	spo2	94.0	room air
VIT-011649	Sun Nov 01, 2026 04:41 PM	rr	18.0
VIT-011688	Sun Nov 01, 2026 04:41 PM	temp_c	36.8
VIT-011689	Sun Nov 01, 2026 04:41 PM	hr	86.0
VIT-011690	Sun Nov 01, 2026 04:41 PM	map	78.0
VIT-011691	Sun Nov 01, 2026 04:41 PM	gcs	15.0
VIT-011650	Mon Nov 02, 2026 12:41 AM	spo2	97.0	room air
VIT-011651	Mon Nov 02, 2026 12:41 AM	rr	15.0
VIT-011692	Mon Nov 02, 2026 12:41 AM	temp_c	37.0
VIT-011693	Mon Nov 02, 2026 12:41 AM	hr	75.0
VIT-011694	Mon Nov 02, 2026 12:41 AM	map	84.0
VIT-011695	Mon Nov 02, 2026 12:41 AM	gcs	15.0
VIT-011652	Mon Nov 02, 2026 08:41 AM	spo2	99.0	room air
VIT-011653	Mon Nov 02, 2026 08:41 AM	rr	18.0
VIT-011696	Mon Nov 02, 2026 08:41 AM	temp_c	37.1
VIT-011697	Mon Nov 02, 2026 08:41 AM	hr	75.0
VIT-011698	Mon Nov 02, 2026 08:41 AM	map	80.0
VIT-011699	Mon Nov 02, 2026 08:41 AM	gcs	15.0
VIT-011654	Mon Nov 02, 2026 04:41 PM	spo2	97.0	room air
VIT-011655	Mon Nov 02, 2026 04:41 PM	rr	15.0
VIT-011700	Mon Nov 02, 2026 04:41 PM	temp_c	36.7
VIT-011701	Mon Nov 02, 2026 04:41 PM	hr	80.0
VIT-011702	Mon Nov 02, 2026 04:41 PM	map	85.0
VIT-011703	Mon Nov 02, 2026 04:41 PM	gcs	15.0
VIT-011656	Tue Nov 03, 2026 12:41 AM	spo2	99.0	room air
VIT-011657	Tue Nov 03, 2026 12:41 AM	rr	15.0
VIT-011704	Tue Nov 03, 2026 12:41 AM	temp_c	37.4
VIT-011705	Tue Nov 03, 2026 12:41 AM	hr	77.0
VIT-011706	Tue Nov 03, 2026 12:41 AM	map	86.0
VIT-011707	Tue Nov 03, 2026 12:41 AM	gcs	15.0
VIT-011658	Tue Nov 03, 2026 08:41 AM	spo2	96.0	room air
VIT-011659	Tue Nov 03, 2026 08:41 AM	rr	15.0
VIT-011708	Tue Nov 03, 2026 08:41 AM	temp_c	37.3
VIT-011709	Tue Nov 03, 2026 08:41 AM	hr	87.0
VIT-011710	Tue Nov 03, 2026 08:41 AM	map	90.0
VIT-011711	Tue Nov 03, 2026 08:41 AM	gcs	15.0

Medications, orders, echo, history (4)

MED-000466 10-30 09:21 cefepime per protocol IV
MED-000467 10-31 05:00 piperacillin-tazobactam per protocol IV
MED-000468 11-01 05:00 piperacillin-tazobactam per protocol IV
ORD-000100 10-30 08:51 blood_culture: blood cultures x2

Notes

History and physical · DOC-000403 · Dr. Camila Oyelaran (resident) · Fri Oct 30, 2026 11:21 AM

Cited facts from this note (1)

infection_source: left lower lobe pneumonia · cited p. 1, line 5 · confidence 0.85

Show source for infection_source

… : Hospital Medicine Attending: Dr. Cyrus Ellingham History of present illness: 51-year-old man admitted with community-acquired pneumonia. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started. Past medical history: hypertension, hyperlipidemia, type 2 diabetes. Review of systems otherwise negative. Exam: …

Source document DOC-000403: History and physical (synthetic)

HISTORY AND PHYSICAL
Patient: Celeste Elsworth   MRN: MRN97200466   Admitted: 2026-10-30 08:21
Service: Hospital Medicine   Attending: Dr. Cyrus Ellingham

History of present illness: 51-year-old man admitted with community-acquired pneumonia. Chest x-ray shows left lower lobe pneumonia; blood cultures drawn and ceftriaxone started.
Past medical history: hypertension, hyperlipidemia, type 2 diabetes.
Review of systems otherwise negative.
Exam: Lungs: clear to auscultation bilaterally.
Assessment and plan:
1. Community-acquired pneumonia: antibiotics.

Progress note · DOC-000404 · Dr. Camila Oyelaran (resident) · Sun Nov 01, 2026 09:21 AM

Source document DOC-000404: Progress note (synthetic)

PROGRESS NOTE (Resident)
Patient: Celeste Elsworth   MRN: MRN97200466   Hospital day 3

Subjective: resting, tolerating diet.
Objective: vitals and labs reviewed in the flowsheet.
Assessment and plan:
1. Community-acquired pneumonia: continue current management.

Resident: Dr. Camila Oyelaran   Attending cosign: completed

Discharge summary · DOC-000405 · Dr. Cyrus Ellingham (attending) · Tue Nov 03, 2026 12:40 PM

Source document DOC-000405: Discharge summary (synthetic)

DISCHARGE SUMMARY
Patient: Celeste Elsworth   MRN: MRN97200466
Admitted 2026-10-30; discharged 2026-11-03.

Discharge diagnoses:
- community-acquired pneumonia
- hypertension
- hyperlipidemia
- type 2 diabetes

Disposition: home with follow-up.